[HN Gopher] Why I hate the index finger (1980)
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       Why I hate the index finger (1980)
        
       Author : consumer451
       Score  : 113 points
       Date   : 2024-11-19 00:35 UTC (22 hours ago)
        
 (HTM) web link (pmc.ncbi.nlm.nih.gov)
 (TXT) w3m dump (pmc.ncbi.nlm.nih.gov)
        
       | gnabgib wrote:
       | (1980)
        
         | consumer451 wrote:
         | Updated, thanks. But the hilarity is timeless.
        
       | isoprophlex wrote:
       | That was unexpectedly hilarious, wow.
        
         | consumer451 wrote:
         | Is there much of this type of thing hiding on PubMed?
         | 
         | Not a source I had previously associated with top-tier humor.
        
           | jaggederest wrote:
           | I believe every year The Canadian Medical Association Journal
           | publishes a mostly-humorous edition around Christmas. And
           | there's a long history of satire in NEJM, BMJ, The Lancet,
           | etc
           | 
           | I particularly enjoy this one (PDF):
           | 
           | http://cda.psych.uiuc.edu/multivariate_fall_2013/salmon_fmri.
           | ..
        
             | consumer451 wrote:
             | Thanks. I think I found another good one, though more
             | technical than OP.
             | 
             | > The case of the disappearing teaspoons: longitudinal
             | cohort study of the displacement of teaspoons in an
             | Australian research institute
             | 
             | https://www.bmj.com/content/331/7531/1498
        
             | genewitch wrote:
             | that... isn't... satire. It's written in a funny way
             | because it was a "silly"[0] experiment, but it showed a
             | real issue with fMRI.
             | 
             | > What we can conclude is that random noise in the EPI
             | timeseries may yield spurious results if multiple testing
             | is not controlled for. In a functional image volume of
             | 60,000-130,000 voxels the probability of a false discovery
             | is almost certain.
             | 
             | [0] silly as in "there's no way this fMRI will show the
             | frozen salmon as alive, right?"
        
               | jaggederest wrote:
               | I think we run into the definition of satire and parody,
               | here.
               | 
               | Satire is "the truth, in the most extreme way", so I
               | think it definitely qualifies to very, very seriously
               | examine a dead salmon with an fMRI to see if it has brain
               | activity.
               | 
               | It's not a parody - they actually did the study, and the
               | results were as described, not an imitation journal
               | article ala The Onion.
        
               | dingnuts wrote:
               | That may be one definition of satire but it strikes me as
               | controversial or incomplete and when I search online for
               | it, I only find this comment.
               | 
               | I think you're coining a definition to fit your purpose.
               | If you want to argue that the article fits some
               | definition of satire you need to actually provide a
               | reference to a definition that is accepted by more people
               | than just you. You can't just put quotation marks around
               | your personal definition; that's not how it works.
               | 
               | I find your definition of satire to be unsatisfactory and
               | reject it, pending further documentation.
        
               | jaggederest wrote:
               | Ok, quoth Oxford:
               | 
               | > the use of humor, irony, exaggeration, or ridicule to
               | expose and criticize people's stupidity or vices,
               | particularly in the context of contemporary politics and
               | other topical issues.
               | 
               | In this case, they're using an analysis which is commonly
               | used to "show activity" in various psychological and
               | psychiatric contexts to "show activity" in a dead salmon.
               | This directly exaggerates ("truth, but in the most
               | extreme way" is about exaggeration, in my definition) and
               | shows the futility of trying to draw significant results
               | without screening for random chance among thousands of
               | comparisons.
               | 
               | A comparison I'd make is to arch-satirist Jonathan
               | Swift's "modest proposal" - it described a real problem
               | (i.e. famine in Ireland) and skewered by exaggeration the
               | English tendency to prescribe solutions that affected
               | none of the core issues as though they knew best and
               | could overcome English exploitation, greed, and callous
               | disregard by the right public policy.
        
               | ARandumGuy wrote:
               | Satire needs a target to actually be satire. Something
               | can be silly, lighthearted, or humorous without being
               | satire. On the flip side, satire itself doesn't actually
               | need to be funny to be effective satire.
               | 
               | So for your example, what is the dead salmon study
               | satirizing? Is there some other study that did something
               | similar that they're making fun of? Is there a broader
               | scientific movement that they're criticizing?
               | 
               | I concede that there may be a target that I'm not aware
               | of. But I find it more likely that someone just said
               | "what if we put a dead fish in an fMRI", and their
               | colleagues found it funny enough to actually do. Many
               | scientists have a sense of humor, and will absolutely do
               | something just because they think it would be funny.
        
               | jaggederest wrote:
               | > So for your example, what is the dead salmon study
               | satirizing? Is there some other study that did something
               | similar that they're making fun of? Is there a broader
               | scientific movement that they're criticizing?
               | 
               | Yes. fMRI studies are used to "prove" this and that about
               | cortex activation under certain kinds of tasks, and
               | they're demonstrating that even a dead salmon shows
               | significant activity under fMRI if you analyze it "in the
               | standard way". Thus, it's absurd to draw conclusions in a
               | psychological or psychiatric context without screening
               | for false positives.
               | 
               | The arch-satirist Jonathan Swift is always my archetype.
               | A modest proposal was about the famine in Ireland, but
               | more than that, it was about a certain kind of English
               | attitude that external technocracy could solve problems
               | in the face of exploitation and callous disregard.
        
         | smitelli wrote:
         | "Remember, you cannot make normal more normal because that is
         | abnormal."
         | 
         | I will indeed remember that.
        
       | DiggyJohnson wrote:
       | Worth the read.
       | 
       | I am so worried that we as a society have lost the ability to
       | write well, and risk losing the ability to recognize and
       | appreciate good writing. Rote professional written communication
       | skills are changing and diminishing. The written word is
       | generally seen to be a burden. Anyways, bittersweet thoughts from
       | a really funny article.
        
         | MrMcCall wrote:
         | This place really is good practice for all sorts of skills:
         | expressive, physical, mental, emotional, and even spiritual.
         | And beyond learning about various zones of my beloved nerdtech,
         | there are very subtle levels of sociology, anthropology, and
         | psychology on display here, too.
         | 
         | But yeah, the decline is real, my friend. I declined to use IRC
         | for all these years, and I'm afraid its descendant, texting,
         | has not improved our society's level of anything beyond the
         | most mundane trivial pursuits.
        
         | bongodongobob wrote:
         | I think this is a poor example of "society writing well". It
         | reads like a medical journal. I personally hate it and couldn't
         | get through it.
        
         | nuz wrote:
         | Well this is from the 80s when writing was still quite
         | respected and practiced
        
         | blt wrote:
         | Thanks to LLMs, the death of stylish writing in non-literary
         | fields is assured. I agree, many people seem to view writing as
         | a burden.
         | 
         | I have only met a handful of people that can lay out a complex
         | argument from scratch in speech alone. For most of us, writing
         | is thinking. If you avoid writing, your ideas will remain murky
         | forever.
        
         | codexb wrote:
         | Up until recently, there always seemed to be a marked
         | difference between the way people spoke vs how they conveyed
         | thoughts in writing. These days, it often feels like most
         | writing is just conversational and stream of consciousness and
         | differs little from how many people speak.
         | 
         | It always makes me curious how we generally view the people of
         | antiquity as speaking very eloquently and properly, but that's
         | probably because we only have writings from their time, not
         | recordings of how they actually spoke.
        
       | Mistletoe wrote:
       | https://www.scientificamerican.com/article/how-our-team-over...
       | 
       | It's really important, ok?
        
       | rob74 wrote:
       | All those cartoons had it right all along: four fingers per hand
       | is more than enough!
        
       | MrMcCall wrote:
       | I'm rather ambivalent about the index finger. The middle finger,
       | however...
        
         | rob74 wrote:
         | Look at it this way: if there was no index finger, you wouldn't
         | have a middle finger either...
        
           | azangru wrote:
           | > if there was no index finger, you wouldn't have a middle
           | finger either
           | 
           | You would have two :-)
        
           | valicord wrote:
           | No, you'd actually have two middle fingers then: upper middle
           | finger and lower middle finger. Just think of the
           | possibilities!
        
           | lcnPylGDnU4H9OF wrote:
           | I guess if you lose all but one finger on a hand then, among
           | other things, you will be unable to point at anything with it
           | without flipping someone off.
        
             | MrMcCall wrote:
             | Call it a feature, not a bug ;-)
        
         | dogman1050 wrote:
         | My ring finger is on my mind presently. It's turned into a
         | trigger finger from riding a stiff clutch motorcycle for a week
         | nine months ago. If bent too close to my palm it doesn't come
         | back without help. It's interfering with my Spiderman web
         | shooter operation. Must have it looked at.
        
           | MrMcCall wrote:
           | That's interesting. My wife's cooking has done it to her ring
           | finger as well. She spoke to a hand orthopedist, but he said
           | that she'd be out of action for weeks if they did the
           | procedute that shaves it, so they just gave her a shot of
           | roids to help it calm down. They can do that up to three
           | times before they need to do the shaving procedure. Good luck
           | with it, Spidey ;-)
        
           | engineer_22 wrote:
           | Having experienced mallet finger in the past, I might
           | consider wearing a splint for a couple weeks to let it heal
        
       | iwontberude wrote:
       | Whoever wrote this was creating satire and I don't even know if
       | they realize it.
        
         | consumer451 wrote:
         | People still surprise me, but given this part, it's hard for me
         | to imagine that the author was not being satirical on purpose:
         | 
         | > Obviously, I do not like arrogant disabled index digits and
         | believe they should be removed if they cannot be restored to a
         | functional status. There is no in-between with index fingers.
         | 
         | > To me, index fingers portray a hideous personality reflecting
         | conceit and pantywaist attitudes. In essence, they are smart-
         | ass digits we can often do without. If I had to lose a finger
         | and had my choice, I would choose first my nondominant hand
         | index ray and next the other index. I find index digits easy to
         | hate and sometimes hard to love.
         | 
         | Although, maybe the author's point was serious?
        
           | idlewords wrote:
           | If you read through carefully, the author is making a serious
           | point: that in many cases of injury to the index finger, it
           | is better functionally and cosmetically to remove it. He
           | cites examples of patients with chronic pain or burning in
           | the stump, and patients who have the remaining portion of the
           | finger permanently extended, facilitating re-injury.
           | 
           | I'm no fingerologist but I do appreciate anyone who can make
           | serious points in such a funny way.
        
             | consumer451 wrote:
             | I definitely noticed that, but if the goal was to convey a
             | serious point, then would that be best served by humorous
             | delivery?
             | 
             | That's the confusion I was trying to express by saying:
             | "Although, maybe the author's point was serious?"
        
               | dnsco wrote:
               | The point the author is making seems to be against the
               | consensus of other hand specialists (this is at least my
               | perception, as someone who has an index finger issue and
               | has asked specialists "can't I just cut it off?").
               | 
               | The author is basically (and provocatively) saying "Are
               | you kidding me? You really think it's useful for people
               | to continue to be burdened with non-functional
               | appendages?" to his colleagues, and I think the humor is
               | likely to get them to engage with his thesis rather than
               | dismiss it off hand.
               | 
               | I have sent this to several doctor friends, and the
               | writing style prompted them to send it to several more,
               | so, I think it's quite likely that tone served the
               | author's point.
        
               | consumer451 wrote:
               | I was going to ask you about this on your top-level
               | comment, so thanks for finding my confusion and
               | responding. That is super interesting. Wow.
        
       | dnsco wrote:
       | I partially amputated (at the joint closest to the nail) my index
       | finger a decade ago, and it's been a huge impediment. This has
       | motivated me to seek out some other opinions.
       | 
       | Sent it to some doctor friends and they are floored by the
       | writing style as well.
        
         | sph wrote:
         | It's hard for me to rationalise that a few cms off the index
         | could be a huge impediment, so can you please share where you
         | find yourself impaired the most? I imagine gripping things,
         | like a glass, should be more or less unaffected.
        
           | dnsco wrote:
           | TL;DR nerves are really weird.
           | 
           | It tingles all the time. There's a ton of "referred pain". It
           | frequently feels like there is a dental drill going of in my
           | face, when it's not painful, it's a a persistent nagging
           | tickle, on my cheek/temple/around my eye.
           | 
           | It gets reynauds phenomena, my house is 68F 20C right now,
           | but my finger is freezing/painful because of how cold it is,
           | this happens pretty much any time I wash my hand, so even in
           | the summer when there's a slight breeze I'm hiding my hand in
           | my pocket for warmth.
           | 
           | When I bang it on things it really hurts, and like this paper
           | says it's extended basically all the time when I'm trying to
           | use my hand for other things.
           | 
           | When I use it to grab things, it feels really weird, so I've
           | kind of trained myself to keep it out of the way. This paper
           | says cut it off, which the few other orthopedists I've talked
           | to have not advised, but at this point, it's been a decade,
           | and seeing a doctor be like "dude, the thing that's only
           | there to make your hand more precise, is actually making your
           | hand way less precise and detracting from your quality of
           | life, cut it off", is a perspective I'm happy to hear. I
           | manage mostly alright, but it's been a decade of major
           | annoyance at best.
        
             | Zancarius wrote:
             | This is really fascinating to me, because it explains some
             | things.
             | 
             | I have a friend who crushed the tip of one of her fingers,
             | but it wasn't amputated. She's described sensations very
             | similar to yours, presumably from nerve damage. I never
             | asked a bunch of questions about it, and now I wish I had
             | after reading this post.
             | 
             | If it ever comes up in conversation again, may I share a
             | link to your comment with her?
        
             | buildsjets wrote:
             | I lost the tip of my right thumb on a planer, but kept the
             | joint. I experience similar phenomena. The worst thing is
             | pushing a supermarket shopping cart on a rough surface, the
             | vibrations it sends into my hand are intensely painful.
             | Also iDevice touchscreens hate my nub.
        
       | ninalanyon wrote:
       | "When you make the patient your enthusiastic ally in
       | reconstructive surgery, you can get him to fly with six or eight
       | small feathers."
       | 
       | That is just brilliant. The article was an object lesson in
       | clarity and humanity.
        
       | navigate8310 wrote:
       | Quite a jarring and informative article. I had no clue how
       | finicky muscles are and bad amputation may result net negative
       | results to the patient.
        
       | leoc wrote:
       | Probably most experienced drumkit players don't generally use
       | their index fingers either (except when playing the ride cymbal).
        
         | BriggyDwiggs42 wrote:
         | It's useful for fast finger strokes
        
       | fellowniusmonk wrote:
       | I mean if the middle finger is that versatile and important it's
       | great that we have less important fingers providing a buffer on
       | both sides of it.
       | 
       | Ablative fingering, what an innovation.
        
       | JohnMakin wrote:
       | As an older competitive gamer, I liked the part of this that
       | describes how on injury or amputation the middle finger will
       | quickly take over the index duties - I've noticed over the years
       | that when my "trigger" finger on a controller is experiencing
       | tendonitis and I have to rest it, that my middle finger performs
       | just as adequately and I barely notice. This has always surprised
       | me.
        
       | onelesd wrote:
       | This article is giving Kurt Vonnegut and I love it.
        
       | flint wrote:
       | I play string bass. Many suggest you focus your attention through
       | the thumb of your left hand as you practice.
        
       | picometer wrote:
       | I'm a violinist (amateur but play regularly). When I have an
       | important note, which is held for a while and needs vibrato, I
       | frequently decide to shift my left hand position so that my
       | middle finger is responsible, rather than the index finger. It
       | feels stronger, easier to nail the intonation (pitch) with
       | precision, and freer to perform the desired type of vibrato.
       | (String players do vibrato by wiggling the left hand finger,
       | which affects the pitch and overtones / oscillation modes of the
       | string.) In fact, I tend to avoid using the index finger on notes
       | that require vibrato.
       | 
       | That preference might be explained here, by the
       | precision/strength combination. I tried holding a hammer as
       | described in the author's hammer exercise, and there's
       | similarity, though it requires much more weight-holding. The left
       | hand doesn't hold the weight of the violin (consider a cello or a
       | guitar with shoulder strap), but a little grip strength is
       | required to securely hold down the string, especially with
       | vibrato.
       | 
       | Overall, fascinating article. I feel quite motivated to read more
       | on hand anatomy and biomechanics.
        
       | throw4847285 wrote:
       | Well it worked for Roland Deschain...
        
         | excalibur wrote:
         | IIRC Roland lost his middle finger as well and had to pull the
         | trigger with his ring finger.
        
       | Ancalagon wrote:
       | Hilariously, I anecdotally also can relate to this. I'm a
       | competitive powerlifter and the calluses on my hands and fingers
       | are most pronounced on the middle, ring, and pinky - with very
       | little on the index.
        
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